Interesting argument . But without profit motive selfish human is not motivated to go above and beyond . It is my opinion that capitalism does help with fueling advancement. The issue with US healthcare is the current system . There is an excellent book if you are curious “Americas Bitter Pill” by Steven Brill , I would urge you to read it and see if your view changes . Climate Change is tied to hedonistic humans - abundance induces waste while scarcity works in conservation